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[Chronic urticaria in childhood : Rational diagnostics and treatment].
- Source :
-
Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete [Hautarzt] 2017 Jul; Vol. 68 (7), pp. 571-582. - Publication Year :
- 2017
-
Abstract
- Chronic urticaria (CU) is defined by episodes of urticaria with or without angioedema, which recur daily or nearly daily over more than 6 weeks. Sudden manifestations of CU with or without known causes are termed chronic spontaneous urticaria, which is differentiated from chronic inducible urticaria. The differential diagnoses of CU in childhood range from self-limiting dermatoses to severe systemic diseases. Further targeted steps are taken to detect potential trigger factors or underlying illnesses only if suspicion arises on anamnestic grounds and CU is best treated in accordance with international guidelines. First-line therapy consists of non-sedating H <subscript>1</subscript> -antihistamines at approved or even higher doses. If symptoms persist, additional treatment with omalizumab, cyclosporine or montelukast can be initiated after careful individual consideration.
- Subjects :
- Acetates therapeutic use
Angioedema diagnosis
Angioedema drug therapy
Angioedema etiology
Angioedema pathology
Child
Child, Preschool
Chronic Disease
Cyclopropanes
Cyclosporine therapeutic use
Diagnosis, Differential
Guideline Adherence
Histamine Antagonists therapeutic use
Humans
Infant
Long-Term Care
Omalizumab therapeutic use
Quinolines therapeutic use
Skin pathology
Sulfides
Urticaria drug therapy
Urticaria etiology
Urticaria pathology
Urticaria diagnosis
Subjects
Details
- Language :
- German
- ISSN :
- 1432-1173
- Volume :
- 68
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete
- Publication Type :
- Academic Journal
- Accession number :
- 28474101
- Full Text :
- https://doi.org/10.1007/s00105-017-3985-5